HomeMy WebLinkAboutBLD1995-00477 JEFFERSON COUNTY BUILDING APPLICATION
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD95-0477 DATE RECEIVED. : 08/29/95
SITE ADDRESS: 120 SPINNAKER PL
:PORT LUDLOW, WA 98365
APPLICANT. . . :SOUTH BAY COMMUNITY ASSOC PHONE: 437-2208
MAILING ADDR: 120 SPINNAKER PL
:PORT LUDLOW WA 98365
CONTRACTOR. . :POPE RESOURCES PHONE: 437-2101
MAILING ADDR:781 WALKER WAY
:PORT LUDLOW WA 98365
CONTR. LIC #:POPER**123B9 EXPIRATION DATE: / /a0/?6
ARCHITECT/ . . : PHONE:
DESIGNER •
MAILING ADDR:
PARCEL NO. . . : 821174005 ALT: CON :
LEGAL DESC. . : STR 17-28-01 EWM, TAX # 231 BY: DATE:
LOT 3 , BLOCK , INNER HARBOR VILL
WATER: DATE:
CAR : DATE:
DESCRIPTION OF IMPROVEMENT: Propane tank installation
BUILDING TYPE *NON BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf
TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADD'L FL. . : 0 sf
GARAGE/CARPORT PROP. . : 0 PROP. . : 0 HTED BSMT. : 0 sf
WOODSTOVE • TOTAL. : 0 TOTAL. : 0 UNHT BSMT. : 0 sf
UBC OCCUPANCY GROUP: SEWAGE DISP. . : OTHER 0 sf
TYPE OF CONST WATER SUPPLY. : CRPT/GAR. . : 0 sf
UNITS. : 0 STORIES: O HEAT TYPES. : DECKS 0 sf
DIMENSIONS: MOBILE HOME COMMERCIAL: 0 sf
FRAME TYPE: MAKE: YR: INDUSTRIAL: 0 sf
EST COST. $ : 0 SIZE: BANK HT. . . : 0 ft
PROJ GRP. . : 4170 SH SETBACK: 0 ft
Owner/agent FEES
Signature: type amount by date recpt
PRMT $ 40 . 00 EMH 08/29/95 111203
Date: B.C. $ 4 . 50 EMH 08/29/95 111203
Issued By:
AUG 2 9 1995
Date:
Jefferson County Planning $ 44 . 50 TOTAL
& Buffding Department
}
JEFFERSON COUNTY WOODSTOVE/
PROPANE TANK INSTALLATION/REMOVAL PERMIT
Jefferson County Permit Center
Castle Hill Mall
621 Sheridan St.
Port Townsend, WA 98368
360-379-4450
PERMIT # •BLD95-0477 DATE ISSUED. : 08/30/95
SITE ADDRESS: 120 SPINNAKER PL
:PORT LUDLOW, WA 98365
APPLICANT. . . : SOUTH BAY COMMUNITY ASSOC PHONE:
MAILING ADDR: 120 SPINNAKER PL
:PORT LUDLOW WA 98365
PROPERTY OWNER: PHONE:
MAILING ADDR. . :
CONTRACTOR. . :POPE RESOURCES PHONE: 437-2101
MAILING ADDR:PO BOX 1780
:POULSBO WA 98370-0239
CONTR. LIC #:POPER**123B9 EXPIRATION DATE: 01/20/96
PARCEL NO. . . : 821174005
LEGAL DESC. . : STR 17-28-01 EWM, TAX # 231
LOT 3, BLOCK , INNER HARBOR VILL
DESCRIPTION OF IMPROVEMENT: Propane tank installation
THERE IS ONE REQUIRED INSPECTION.
PLEASE CONTACT THE PERMIT CENTER AFTER INSTALLATION/REMOVAL
IN ORDER TO SCHEDULE YOUR INSPECTION.
( ✓) Final Approval: OK 9,(- 9,S 2.!J
CALL 379-4455 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9 a.m. to 4 : 30 p.m.
Inspector's Phone Hours 8 - 9 a.m.
24 Hour Recorder for Inspections
gLp&R. -01 ?
•
JEFFERSON COUNTY PERMIT CENTER, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 360-379-4450
1.1^ ; INSTALLATION PERMIT APPLICATION
Legs 04(77
.. WOODSTOVE X PROPANE TANK PELLET STOVE OTHER
SITE ADDRESS:
911#ROAD NAME 120 5 f ifru4.fK!2 PiQCe.
TORT .o Lu I VVi ZIP st6? 6,
9 DIGIT PARCEL ID NUMBER 62 t I1 t005
APPLICANT ?o PE t^`�Es(-)y�O Ct2ES PHONE(�WO) i -2/01
MAILING ADDRESS -yI pfLKnEie..,! \/Qy / r
Vold L12.OLOW 1 WA gB�/PJ ZIP
PROPERTY OWNER 50ur# rJ/r (i(J!/`M
•/�
- _ PHONE
MAILING ADDRESS 120 5pJNnim:te2 PCae-C e /
Ser L.Uu (aW Q, tT+ ZIP G S3(�b'
CONTRACTOR -L-7e1! 01) i &50t/teti)C�.t�5 PHONE
MAILING ADDRESS W/►'T1)` tz, L.2/ -f /�/ r
p2I2 l/lrtitll7W , 9/4 ZIP /S✓'C�.'1
STATE LICENSE # 120PR. -* IU B7 EXP. DATE
FEDERAL I.D. #
APPLICANT SIGNATURE /1.14 ...4.11 I %� DATE lze_l__h/
FOR OFFICE USE ONLY ,.
BASE FEE RECEIPT # f /'1
STATE SURCHARGE 4.50 CASH / CK # / !` `�
TOTAL DATE7.,� / 1
Fire District Planning Area School District Zone
HaHOME\PtNCNTR\FORMStINSTALL.FRM